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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

Recently hospitalized residents who experienced moderate to severe pain at any time during the 7-day assessment period

CBE ID
0186
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percentage of recently hospitalized patients with valid SNF PPS 14-day assessment, who experienced moderate to severe pain at any time during the 7-day assessment period

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level of Analysis
      1.14 Numerator

      Patients at SNF PPS 14-day assessment with moderate pain at least daily (J2a=2 and J2b=2) OR horrible/excruciating pain at any frequency (J2b=3).

      1.15 Denominator

      All patients with valid SNF PPS 14-day assessment (AA8b =7).

      Exclusions

      Exclusions:
      Patients satisfying any of the following conditions:

      1. Either J2a or J2b is missing on the 14-day assessment.
      2. The values of J2a and J2b are inconsistent on the 14-day assessment.
      3. The patient is in a facility with a Post Acute Care Admission Sample size of 0 (i.e., there are no SNF PPS 5-day assessments with AA8b=1 in the facility over the previous 12 months).

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Nursing Homes- 2004
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      Centers for Medicare & Medicaid Services
                  Public Comments